MR. David Carroll Dickson, 1.CERTIFIED PEDORTHI

NPI #1134246895 in Shenandoah, Iowa

Provider Information

NPI Number: 1134246895
Entity Type: Individual
Name: MR. David Carroll Dickson, 1.CERTIFIED PEDORTHI
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pedorthist
Credential: 1.CERTIFIED PEDORTHI
Enumeration Date: Mar 26, 2007
Last Updated: Oct 6, 2015

Practice Location

Address: 612 W. SHERIDAN AVENUE
City: Shenandoah
State: Iowa
ZIP Code: 51601
Phone: (712) 246-2635

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist, Other - Surgical Technologist — Surgical Technologist	246ZS0410X
Pedorthist	224L00000X	Primary

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Organizations

Provider Name	Specialty	City
Shenandoah Medical Center	General Acute Care Hospital - Critical Access	Shenandoah	AI Deep Dive

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